Hurricane Harvey Express Claim Submission

Due to the severity of Hurricane Harvey Cypress is providing this Express Claim Submission which
will allow us to quickly capture your policy information so we can start the claims process. Please do not hesitate to
call us at 1-877-560-5224 with any questions you may have or to check on the status of your claim.

Policy

Policy Number:

Your policy number begins with a 3 character prefix followed by 9 digits
Example Policy Number: FYN123456789*Please note that we can identify your policy much faster if you are able to provide the policy number.

Contact Information

First Name:

Phone Number:

Preferred Contact:

Please provide at least one phone number so we can contact you

Last Name:

Cell Phone Number:

Preferred Contact:

Email Address:

Address Where Property Loss Occurred:

Address:

City:

State:

Zip Code:

Loss:

Description of Loss:

Date of Loss:

Questions Regarding Your Loss:

Do you feel safe and able to stay in your home at this time?

Do you have any damage to your home from rising flood or surface waters?

Do you have flood insurance?

Please provide the name of your flood insurance provider. (If the answer to the above question 'Do you have flood insurance?' is 'Yes')

Are there currently any openings in the roof, interior leaks, fallen trees on the home, or any damaged doors or windows?

Has any professional repair services began work on the damage being reported?

Cypress P & C and Cypress Texas Insurance Company have been providing our Policyholders and Agents with a long-term, stable market of products
and services to meet the needs of home and business owners alike for well over a decade.